AMANDA LYNNE BREEDEN (NPI# 1326387275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326387275 |
| Entity Type | Individual |
| Full Name | AMANDA LYNNE BREEDEN |
| Other Name | AMANDA LYNNE SWEET |
| Credential | PA-C |
| Practice Address |
1348 Walton Way Ste 5100 Augusta GA 30901 |
| Mailing Address |
Po Box 925 Augusta GA 30903-0925 |
| Practice Telephone | 7067248611 |
| Practice Fax Number | 7067246202 |
| Mailing Telephone | 7067248611 |
| Mailing Fax Number | 7067246202 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006596 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1348 Walton Way, Ste 5100, Augusta, GA 30901 | 7067248611 | 7067246202 |
| 1348 Walton Way Ste 5100, Augusta, GA 309015108 | 7067248611 | 7067246202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669851705 | Amanda Breeden | Counselor | 5901 N Prospect Rd Ste 105, Peoria, IL 61614-4358 | 2015-05-21 |
| 1912985474 | Amanda Breeden | Technician, Other | 6651 David Dr S, Theodore, AL 36582-6021 | 2006-01-05 |
| Street Address |
1348 WALTON WAY STE 5100 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427157114 | Joseph Frank Pensabene | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2006-09-21 |
| 1487276010 | Dixie Loraine Mcintosh | Nurse Practitioner | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2020-05-18 |
| 1750856282 | Caitlin Elizabeth Pye | Nurse Practitioner | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2018-10-11 |
| 1245650498 | Frances Lockwood | Physician Assistant | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2014-04-25 |
| 1699067629 | University Cardiology Associates LLC | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901 | 2011-05-10 |
| 1093959553 | Michael J. Johnson | Internal Medicine | 1348 Walton Way Ste 5100, Augusta, GA 30901-5108 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.